| NPI | 1104532431 | 
|---|---|
| Doing Business As | LITTLE DRUGS FAMILY WELLNESS CENTER LTC | 
| Entity Type | Organization | 
| Authorized Contact | BRENT ERIC HICKEY President/PIC 423-210-0695 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy | 
| Enumeration Date | 2023-01-30 | 
| Last Update Date | 2023-01-30 |